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General NPI Number Information
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NPI Number | 1386125482
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Entity Type | Individual
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Provider Name | OPHELIA OPOKU-ACHEAMPONG
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 112 WEDGEWOOD DR APT 9
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City | MORGANTOWN
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State | WV
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Zip | 26505-2480
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Country | US
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Telephone | 540-746-1830
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Fax |
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Provider Business Mailing Address
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Address Line | 40 HIGH ST # 913
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City | MORGANTOWN
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State | WV
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Zip | 26505-0172
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Country | US
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Telephone | 540-746-1830
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | DP00944888
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License Number State | WV
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